Fungal Discharge: Is It Normal Vaginal Secretions? - Obstetrics and Gynecology

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Fungal secretion


Hello, doctor.
I would like to ask about discharge that has a moldy, cottage cheese-like appearance.
Is it similar to regular secretions in terms of stickiness and stretchability? If it can stretch about 1 cm without breaking and feels sticky to the touch, is this considered normal vaginal discharge or cottage cheese-like discharge? Thank you.

SU, 20~29 year old female. Ask Date: 2015/10/30

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
The fungal secretion is like a curdled texture and does not have significant stretchability.
2.
It is also possible that both are present.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/30

More Info


When it comes to vaginal secretions, understanding the characteristics of these fluids is essential for identifying potential infections, particularly those caused by fungi such as Candida, which is responsible for yeast infections. The description you've provided—thick, white, and resembling cottage cheese (often referred to as "tofu curd")—is indeed indicative of a yeast infection, commonly caused by Candida albicans.
Normal vaginal discharge varies throughout the menstrual cycle and can be influenced by factors such as hormonal changes, sexual arousal, and overall health. Typically, normal discharge is clear or milky, has a mild odor, and can be stretchy or slippery, particularly around ovulation. However, when the discharge becomes thick, clumpy, and has a strong odor, it often signals an infection.

In the case of a Candida infection, the discharge is usually described as having a "cottage cheese" appearance, and it may be accompanied by symptoms such as itching, burning, and irritation in the vaginal area. The discharge may also be sticky and can stretch to some extent, but it is distinct from normal cervical mucus, which is more elastic and clear during ovulation.

If the discharge you are experiencing is indeed thick, white, and clumpy, with a sticky consistency, it is likely not normal and could suggest a yeast infection. Other symptoms to watch for include:
1. Itching or irritation: This is often the most bothersome symptom, leading to discomfort and a strong urge to scratch the affected area.

2. Redness and swelling: The vulva may appear inflamed and sensitive.

3. Burning sensation: This may occur during urination or sexual intercourse.

It's important to note that while yeast infections are common and generally not serious, they can recur frequently, especially in individuals with certain risk factors such as diabetes, antibiotic use, or hormonal changes. If you suspect you have a yeast infection, it is advisable to consult a healthcare provider for an accurate diagnosis and appropriate treatment. Over-the-counter antifungal medications are often effective, but persistent or recurrent infections may require prescription-strength treatments or further investigation to rule out other underlying conditions.

In summary, the characteristics of your discharge—thick, white, and possibly sticky—are more consistent with a yeast infection than with normal vaginal secretions. If you are experiencing these symptoms, it is best to seek medical advice to confirm the diagnosis and receive appropriate treatment. Maintaining good vaginal health, including proper hygiene and avoiding irritants, can help prevent future infections.

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